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[高中心肺复苏实践理论教学的有效性。]

[Effectiveness of practical theoretical teaching in high-school about cardiopulmonary resuscitation.].

作者信息

Losa Ballesteros Bernardo Javier, Rosell Pérez Jorge, Salmerón Ríos Sergio, Fernández Lozano Juan Marcos

机构信息

Hospital Virgen de la Luz de Cuenca. Cuenca. España.

Hospital Mancha Centro de Alcázar de San Juan. Ciudad Real. España.

出版信息

Rev Esp Salud Publica. 2020 Aug 13;94:e202008093.

Abstract

OBJECTIVE

Cardiovascular diseases is one of the most important health problems among population. Most preventable deaths which take place in a context different from the hospital are related to coronary heart diseases. Training the population in cardiopulmonary resuscitation (CPR) may well result in an increase in the survival rate before a cardiorespiratory arrest.

METHODS

An observational study -both prospective and analytical- was conducted through a sample of students in the fourth year of compulsory secondary education. They were divided in two groups: a first group was trained with a theoretical-practical course on CPR, the second group only a theoretical course on CPR. Three surveys on CPR knowledge were conducted, the first one prior to a CPR course, the second one after the course and the third carried out two months after completing it. The results were compared between the three surveys to examine the degree of acquisition and maintenance of knowledge.

RESULTS

326 students, 213 theoretical-practical group and 113 theoretical group, whose average age was 15.6 years (DE=0.7, R 15-17) and 56% were girls. The average scores of the questionnaires were: 5.1 points (DE=1.8, R 0-10) on first exam, 8.2 points (DE=1.6, R 3-10) on second exam of the theoretical-practical group versus 7.7 points (DE=1.9, R 0-10) of the theoretical group, and 7.2 points (DE=3.8, R 1-10) on third exam. In the first exam, 5.2% of them knew the frequency of chest compressions and ventilations in CPR, improving to 68.1% in the second questionnaire of the theoretical-practical group, and a 79.6% of the theoretical group.

CONCLUSIONS

Increased knowledge in cardiopulmonary resuscitation reflect in an increase of 3.1 points of average after the theoretical-practical sessions and in 2.1 points two months later. The theoretical-practical group obtain a better score in the post-course exam (8.2 points) compared to the theoretical group (7.7 points).

摘要

目的

心血管疾病是人群中最重要的健康问题之一。大多数发生在医院外的可预防死亡与冠心病有关。对人群进行心肺复苏(CPR)培训很可能会提高心肺骤停前的存活率。

方法

通过对义务中等教育四年级学生进行抽样,开展了一项前瞻性分析观察研究。他们被分为两组:第一组接受CPR理论实践课程培训,第二组仅接受CPR理论课程培训。进行了三次关于CPR知识的调查,第一次在CPR课程之前,第二次在课程之后,第三次在课程结束两个月后进行。对三次调查的结果进行比较,以检验知识的获取和保持程度。

结果

326名学生,213名在理论实践组,113名在理论组,平均年龄为15.6岁(标准差=0.7,范围15 - 17岁),女生占56%。问卷的平均得分如下:理论实践组第一次考试为5.1分(标准差=1.8,范围0 - 10分),第二次考试为8.2分(标准差=1.6,范围3 - 10分),而理论组第二次考试为7.7分(标准差=1.9,范围0 - 10分),第三次考试理论实践组为7.2分(标准差=3.8,范围1 - 10分)。在第一次考试中,他们中5.2%的人知道CPR中胸外按压和通气的频率,在理论实践组的第二次问卷中这一比例提高到68.1%,理论组为79.6%。

结论

心肺复苏知识的增加在理论实践课程后平均提高3.1分,两个月后提高2.1分。理论实践组在课程后考试中的得分(8.2分)高于理论组(7.7分)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd3/11582937/97e7375e746d/1135-5727-resp-94-e202008093-g001.jpg

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